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It may need determination. Some speakers are, difficult to follow, either because of voice problems, or because of the form in which they send a, message. There is then a particular need for the, determination of a listener to concentrate on what, is being said., , Concentration is helped by alertness. Mental, alertness is helped by physical alertness. It is not, simply physical fitness, but also positioning of the, body, the limbs and the head. Some people also, find it helpful to their concentration if they hold the, head slightly to one side. One useful way for, achieving this is intensive note-taking, by trying to, capture the critical headings and sub-headings the, speaker is referring to.